Literature review for - Flourish Paediatrics

isk of obesity at age 7 yrs.
while breastfeeding > 4 months
(0.86, 0.76 to 0.97) (compared with
none) was associated with a
decreased risk of early childhood
overweight.
Effect on risk
(Increase/None/Protect)
None Increase for solid introduction at <
4 months
Clinical importance 3 1 N/A
Clinical relevance 1 1 1
Generalisability Y Y Y
Applicability Y Y Y
children, or adults). There is no
relationship between time of
weaning and overweight during
infancy or in children younger than
age 7 yrs. However, there was no
quantitative data reported.
None
Additional studies used to make evidence statement for age of introduction of solid foods and overweight. (any age ) Studies used to
make evidence statement for Introduction of Complementary Foods and Weight gain
Reference Baker Michaelsen 2004
AJCN
Burdette 2006 AJCN Griffiths 2008 Arch Dis
Child
Monasta Cattaneo 2010
Obesity Reviews
Type of study Cohort Cohort –retrospective Cohort SLR
Level of evidence II (aetiology) III-2 (aetiology) II (aetiology) II (aetiology)
Definition of
breastfeeding
Any breastfeeding
Any breastfeeding
Exclusive breastfeeding
“any breastfeeding” was
used in these analyses ( total
duration of breastfeeding)
The duration of any
breastfeeding was
categorized into quartiles
(40 wk).
Complementary foods were
defined as mush or porridge
in the questionnaire; infant
Data on breastfeeding,
formula feeding, and the
timing of the introduction of
complementary foods were
obtained
from the mothers when the
children were 3 y old.
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